NPIMap

Avera Marshall

Organization Active NPI Multi-Specialty Clinic/Center · Marshall, MN

NPI 1962641936 · NPPES record last updated Jun 12, 2026

Key facts

NPI
1962641936
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
AVERA MARSHALL
Practice address
300 S Bruce St
Marshall, MN 56258-1934
Phone
(507) 532-9661
NPI assigned
Feb 13, 2009
Organization subpart
No

Authorized official

Name
Debbie Streier
Title
Ceo
Phone
(507) 537-9160

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Avera Granite Falls Medicare Defined Swing Bed Hospital Unit · Granite Falls, MN · NPI 1578106498
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • Avera Granite Falls Skilled Nursing Facility · Granite Falls, MN · NPI 1679116503
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST
  • Avera Granite Falls Critical Access Hospital · Granite Falls, MN · NPI 1700429610
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • Avera Tyler Rural Health Clinic/Center · Lake Benton, MN · NPI 1003869892
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • Avera Tyler Medicare Defined Swing Bed Hospital Unit · Tyler, MN · NPI 1326102237
    CMS ownership OPERATIONAL/MANAGERIAL CONTROL
  • Avera Tyler Rural Health Clinic/Center · Tyler, MN · NPI 1649223439
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • Avera Tyler Critical Access Hospital · Tyler, MN · NPI 1801840517
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • Avera Tyler Skilled Nursing Facility · Tyler, MN · NPI 1821042920
    CMS ownership OPERATIONAL/MANAGERIAL CONTROL

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 154

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 154

Medicare participation

Medicare fee-for-service enrollment
Enrolled (5 enrollments) in MN, SD, ND, AZ, OH

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avera Tyler Hospital
Tyler, MN · CCN 241348		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 1, 2016
Mar 1, 2016
Avera Tyler Hospital
Tyler, MN · CCN 24Z348		 Hospital Operational/Managerial Control Mar 1, 2016
Avera Granite Falls Health Center
Granite Falls, MN · CCN 241343		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 2020
Jan 1, 2020
Avera Granite Falls Health Center
Granite Falls, MN · CCN 24Z343		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 2020
Jan 1, 2020
Avera Sunrise Manor
Tyler, MN · CCN 245357		 Skilled nursing facility Operational/Managerial Control Feb 17, 2016
Avera Granite Falls Care Center
Granite Falls, MN · CCN 245243		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2020
Avera Medical Group Tyler
Tyler, MN · CCN 243413		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 1, 2016
Mar 1, 2016
Avera Medical Group Tyler
Lake Benton, MN · CCN 243470		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 1, 2016
Mar 1, 2016

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031106000219 MN Part B Supplier - Clinic/Group Practice 5799695227 Receives reassigned benefits from 278 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tracy, MN; Springfield, MN; Dawson, MN; Redwood Falls, MN; Minneota, MN; Marshall, MN; Eden Prairie, MN; Canby, MN…
O20191211001152 SD Part B Supplier - Clinic/Group Practice 5799695227 Receives reassigned benefits from 29 practitioners
Practice locations: Sioux Falls, SD
O20230331000340 ND Part B Supplier - Clinic/Group Practice 5799695227 Receives reassigned benefits from 1 practitioner
Practice locations: Fargo, ND
O20230430000100 AZ Part B Supplier - Clinic/Group Practice 5799695227 Receives reassigned benefits from 1 practitioner
Practice locations: Rio Verde, AZ
O20230510001831 OH Part B Supplier - Clinic/Group Practice 5799695227 Receives reassigned benefits from 1 practitioner
Practice locations: Powell, OH

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Yes

Addresses

Primary practice location

300 S Bruce St
Marshall, MN 56258-1934

Mailing address

PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-7293

Other identifiers

IdentifierTypeStateIssuer
019545600MedicaidMN

Other names

  • Avera Marshall Specialty Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 12, 2026.

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1962641936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86370",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571186370",
            "telephone_number": "605-322-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BRUCE ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581934",
            "telephone_number": "507-532-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MARSHALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "STREIER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-537-9160"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019545600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Marshall Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera Marshall Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshall, MN

All providers in Marshall, MN · Multi-Specialty Clinic/Center in Minnesota

Sources for this page

Verify at the official NPI Registry.